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No Stitches After Cosmetic Surgery?

June 29th, 2016

Dr. Bashioum enters the Operating RoomIs it true that all stitches need to be removed after cosmetic surgery? The short answer is no.

In the past, skin sutures (stitches) or skin staple closures needed to be removed after cosmetic surgery. Some surgeons still use removable skin sutures or skin staples to shorten the duration of surgery by quickly closing incisions using these older techniques, I do not. With the advent of modern absorbable stitches and surgical skin glue such as Indermil ®, which are FDA approved, the new technology makes removing stitches a thing of the past in my office. I find that by taking more time with incision closure during surgery, I can offer a better experience for my patients.

Choices: Absorbable stitches are simply absorbed by the tissue and replace the need for suture removal. Surgical glue is similar to “Superglue” and is now being used to close small skin cuts, lacerations and also as tissue closure for surgical incisions. How does surgical glue work? It is applied by an applicator to the skin. Once it comes into contact with the skin, the glue hardens rapidly and holds the edges of skin together nicely so the skin can heal.

I prefer to use surgical glue and absorbable stitches for several reasons. I have found that patients really dread the removal of any skin closure device. It is very stressful for most patients to remain still while someone picks at a tender incision to remove sutures or staples. I also believe that surgical glue most often provides the least visible scare after healing. And finally, skin glue seals the incision. The adhesive material in  DERMABOND ®  or  INDERMIL ®  forms a strong microbial shield to protect wounds while they heal. There is a suggestion that the glue actually reduces the risk of infection. It also yields a better overall scar. The surgical glue does away with the need for most of the bulky dressings of the past, making recovery easier for the patient to manage. The glue simply washes off in the shower within about two weeks.

Surprisingly, many of my patients are unaware of these new methods and are pleasantly surprised at not having to worry about the need for removal following their surgery. It appears that none of my patients have missed out on the stress of having stitches or staples taken out!

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Nipntuck Myths: Who Performs Cosmetic Surgery?

November 23rd, 2015

Nipntuck Picasso-esque

TOP MYTHS OR MISCONCEPTIONS ABOUT COSMETIC SURGERY

Patients often ask me some of the same questions and many of them are the myths that I will address in this new series.

MYTH: Only plastic surgeons can legally perform cosmetic surgery. Surprising there are no restrictions governing what type of physician can perform any medical or surgical procedure. Virtually every state in America, provides that any licensed physician can do brain surgery, open-heart surgery, etc. However, common sense usually limits the scope of a doctors own practice. So it is important to understand individual qualifications when choosing a cosmetic plastic surgeon. Basic facts to consider include evaluation of Board Certification/s, (American Board of Medical Sub-specialties) and the quality of patient surgical results. Another important indication includes both patient and physician referrals. All of this information is equally important and is significant in not only choosing your cosmetic plastic surgeon, but any physician under your consideration. Understanding the qualifications of your cosmetic plastic surgeon is paramount, board certification is the gold standard. Do your homework and check here at the American Society of Plastic Surgeons.

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